HCPCS Range Ankle-foot Orthotics

HCPCS Range Ankle-foot Orthotics

1 Ankle foot orthosis (AFO), spring wire, dorsiflexion assist calf band, custom-fabricated ( L1900 )

2 Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf ( L1902 )

3 Ankle orthosis, ankle gauntlet or similar, with or without joints, custom fabricated ( L1904 )

4 Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf ( L1906 )

5 Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated ( L1907 )

6 Ankle foot orthosis (AFO), posterior, single bar, clasp attachment to shoe counter, prefabricated, includes fitting and adjustment ( L1910 )

7 Ankle foot orthosis (AFO), single upright with static or adjustable stop (phelps or perlstein type), custom-fabricated ( L1920 )

8 Ankle foot orthosis (AFO), plastic or other material, prefabricated, includes fitting and adjustment ( L1930 )

9 Ankle foot orthosis (AFO), rigid anterior tibial section, total carbon fiber or equal material, prefabricated, includes fitting and adjustment ( L1932 )

10 Ankle foot orthosis (AFO), plastic or other material, custom-fabricated ( L1940 )

11 Ankle foot orthosis (AFO), plastic, rigid anterior tibial section (floor reaction), custom-fabricated ( L1945 )

12 Ankle foot orthosis (AFO), spiral, (institute of rehabilitative medicine type), plastic, custom-fabricated ( L1950 )

13 Ankle foot orthosis (AFO), spiral, (institute of rehabilitative medicine type), plastic or other material, prefabricated, includes fitting and adjustment ( L1951 )

14 Ankle foot orthosis (AFO), posterior solid ankle, plastic, custom-fabricated ( L1960 )

15 Ankle foot orthosis (AFO), plastic with ankle joint, custom-fabricated ( L1970 )

16 Ankle foot orthosis (AFO), plastic or other material with ankle joint, prefabricated, includes fitting and adjustment ( L1971 )

17 Ankle foot orthosis (AFO), single upright free plantar dorsiflexion, solid stirrup, calf band/cuff (single bar 'BK' orthosis), custom-fabricated ( L1980 )

18 Ankle foot orthosis (AFO), double upright free plantar dorsiflexion, solid stirrup, calf band/cuff (double bar 'BK' orthosis), custom-fabricated ( L1990 )